- Monroe Plan for Medical Care (Olean, NY)
- …+ Assist staff when necessary in areas of Care Management referrals and network development . + Promote a positive working environment for staff through ... the care management staff. The Team Lead is accountable for staff development and performance improvement and for promoting appropriate and effective care through… more
- Centene Corporation (New York, NY)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical… more
- New York State Civil Service (Albany, NY)
- …problems, performance degradation, and security incidents.* Collaborate with application development teams to optimize network connectivity for specific ... network security best practices are consistently applied and maintained.* Provide expert-level support for network -related incidents and problems,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers ... and enroll prospects based on the customer's needs + Provide a positive customer experience with excellent customer satisfaction...that we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are… more
- The Cigna Group (New York, NY)
- …for greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction ... TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS** The ** Provider Contracting Advisor** serves as an integral member of...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Centers Plan for Healthy Living (Queens, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers ... that we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are abreast on any outstanding issues relative to any of… more
- Centene Corporation (Queens, NY)
- …of the highest level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance ... Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Cultivate client relations and collaborate with… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical… more
- Capital One (New York, NY)
- …Services functional areas, such as enterprise product management, cyber, network connectivity, development , cloud operations, data management, resiliency, ... with regulatory practices; governance, risk, and compliance; information and network security, AWS cloud; machine learning and artificial intelligence; data… more
- SUNY Schenectady County Community College (Schenectady, NY)
- …supporting the Executive Director in leading and administering a comprehensive staff development network for adult education professionals. The RAEN, funded by ... meet National Reporting System (NRS) and state specific performance benchmarks and provide the appropriate professional development to meet WIOA initiatives for:… more
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